TMPPM 2011 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Physician > Services/Benefits, Limitations, and Prior Authorization > Ophthalmology > Other Eye Surgery Limitations

   
 

8.2.46.6 Other Eye Surgery Limitations

The following procedure codes require modifier LT or RT to identify the eye for which the surgery is being performed:

Procedure Codes

65205

67311

67312

67314

67316

67318

67320

67331

67332

67334

67345

67414

67800

67801

67805

67808

V2790

In the following table, the procedure codes in Column A may be reimbursed only when at least one corresponding procedure code from Column B has been paid to the same provider for the same date of service:

Column A Procedure Codes
Column B Procedure Codes

66990

65820, 65875, 65920, 66985, 66986, 67036, 67039, 67040, 67041, 67042, 67043, or 67112

67320, 67331, 67332, 67334

67311, 67312, 67314, 67316, or 67318

67335, 67340

67311, 67312, 67314, 67316, or 67318

V2790

65780


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